# NOBLE HEALTH AUDRAIN INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NOBLE HEALTH AUDRAIN INC
- **Other names:** Audrain Com Clinic Family Med
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447841168
- **Legal business name:** NOBLE HEALTH AUDRAIN INC
- **Authorized official:** AMY L OBRIEN (CEO)
- **Authorized official phone:** (573) 582-5000

## Contact information

- **Practice address:** 515 E PROMENADE ST STE A, MEXICO, MO 65265-2966
- **Practice address phone:** (573) 473-3901
- **Practice address fax:** (573) 581-2615
- **Mailing address:** 515 E PROMENADE ST STE A, MEXICO, MO 65265-2966
- **Mailing address phone:** (573) 473-3901
- **Mailing address fax:** (573) 581-2615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/27/2021
- **Last updated:** 06/23/2022